Individual
SHALENTA HARDISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
8835 GERMANTOWN AVE, PHILADELPHIA, PA 19118-2765
(215) 248-8200
Mailing address
46 SHERWOOD RD, EASTON, CT 06612-1210
(929) 219-8944
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
316587
NY
363LF0000X
Family Nurse Practitioner
10052
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
10052
CT
367500000X
Certified Registered Nurse Anesthetist
Primary
10052
CT
367500000X
Certified Registered Nurse Anesthetist
117345-23
NH
367500000X
Certified Registered Nurse Anesthetist
RN772700
PA
Other
Enumeration date
05/15/2014
Last updated
06/15/2026
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